1JHSAT - May 2007

JHSAT SMS BriefingMay 2007

AHS Forum 63 – Virginia Beach, VA

Jack Drake, HAIMark Liptak, FAA

2JHSAT - May 2007

The IHST Mission

• An 80% reduction in accident rate is achievable and an opportunity

…to improve safety awareness and ensure proactive safety management

…to improve business (safety is good for business)

3JHSAT - May 2007

The JHSAT Epiphany

• We don’t have to wait

• We know more than we realize

• We can do more with the data (safety management) to reduce accident risk

• We can do a better job of investigating - to root cause

4JHSAT - May 2007

Achieving the 80% Goal

• We’re already improving:

2001-2005 9.1 acdts/100K hours

2005 8.0

2006 6.3

2016 1.8?

5JHSAT - May 2007

SPS by the Numbers

• Pilot judgment and actions – 401

• Safety culture (ops and safety mgmt) – 173

• Pilot situational awareness – 87

• Communications - 24

6JHSAT - May 2007

Intervention Numbers

• Safety Management = 275

– Risk assessment – 100– Risk management – 49– Weather SOP – 26– Preflight preparation SOP - 20

7JHSAT - May 2007

ENG Safety Culture SPS (9/30)

• Inadequate company management (Lack of management policies and/or oversight; failure to enforce SOPs; and inadequate hiring practices)

• Safety program (lack of a system for threat-free reporting of safety-related incidents, and insufficient employee performance monitoring)

• Training program (inadequate transition and flight procedures training)

• Pilot disregard of known safety risk (reflects an inadequate company approach to safety)

8JHSAT - May 2007

ENG Pilot Judgment/PerformanceSPS Codes (11/30)

• Lack of situational awareness • Willful disregard of rules, SOPs, and aircraft limitations• Failed to follow procedures• Disregarded cues that should have led to termination of

current course of action• Improper action due to misdiagnosis• Misjudged own limitations/capabilities• Improper decision-making • Inadequate preflight preparation (inadequate consideration of

weather/wind, and inadequate aircraft pre-flight)

9JHSAT - May 2007

ENG Risk Assessment/Management Interventions

(needed in Safety Management and Training categories)• Develop a risk management program• Provide personal and flight operations risk

management training• Provide judgment training in risk assessment• Provide mission specific operational training that

addresses event hazards• Provide weather training to emphasize

appropriateness of aborting the mission when faced with deteriorating weather conditions (em-pha-sis)

10JHSAT - May 2007

Other ENG Safety Management Interventions

• Set higher safety and flight operations standards• Establish a company flight operations oversight program to

ensure compliance with AFM procedures• Provide training to reduce the risk of procedural intentional

non-compliance (PINC) with company and regulator rules or standards

• Implement a non-punitive safety event reporting system• Establish policy to reduce the risk of inadvertent flight into

adverse weather (IIMC)• Utilize HOMP-type (helicopter operations monitoring

program) flight data to verify employee flight performance

11JHSAT - May 2007

Information is Power

• Sharing safety information is powerful for:

– Increasing safety awareness– Mitigating problems before the accident

12JHSAT - May 2007

Safety Management Systems

• Commitment to the “safety culture”• Safety tools (event data, digital data, and

audits)• Assessing risk as part of the culture (to

improve procedural guidance, launch decisions, and aeronautical decision-making)

• Managing safety (raising the standard, feedback loops, safety alerts, and safety/awareness education)

13JHSAT - May 2007

The IHST Goal

• …is achievable, if we manage safety!

14JHSAT - May 2007

Questions?